| Service Description | CPT Code | Charge Type | Surgical Practice Price |
|---|---|---|---|
| CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE PP | 52240 | Prof | $1086.42 |
| CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA PP | 52265 | Prof | $401.00 |
| CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS PP | 52320 | Prof | $609.62 |
| CYSTOURETHROSCOPY,UNLISTED PP | 58999 | Prof | $1305.30 |
| CYSTOURETHROSCOPY,W FULGURATION,RESECTION,MEDIUM BLADDER TUMOR (2-5 CM) PP | 52235 | Prof | $801.42 |
| CYSTOURETHROSCOPY,W INTERNAL URETHROTOMY,MALE PP | 52275 | Prof | $604.20 |
| CYSTOURETHROSCOPY,W REMOVAL FOREIGN BODY/CALCULUS/URETERAL STENT,URETHRA/BLADDER,COMPLICATED PP | 52315 | Prof | $761.52 |
| CYSTOURETHROSCOPY,W REMOVAL FOREIGN BODY/CALCULUS/URETERAL STENT,URETHRA/BLADDER,SIMPLE PP | 52310 | Prof | $425.22 |
| CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,REMOVAL CALCULUS PP | 52352 | Prof | $983.82 |
| CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,W LITHOTRIPSY PP | 52353 | Prof | $1086.42 |
| CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,W LITHOTRIPSY,INSERT URET STENT PP | 52356 | Prof | $1152.54 |
| CYSTOURETHROSCOPY,W/BIOPSY PP | 52204 | Prof | $396.72 |
| CYSTOURETHROSCOPY,W/INJECTION FOR CHEMODENERVATION,BLADDER PP | 52287 | Prof | $473.10 |
| DACRYOCSTORHINOSTOMY PP | 68720 | Prof | $1844.24 |
| DAVIN URETERECTOMY URETERAL REIMPLANT LAP LYSIS OF ADHES 45 MIN PP | 50949 | Prof | $3449.07 |
| DAVINCI LEFT DISTAL URETERECTOMY PP | 50949 | Prof | $2565.00 |
| DAVINCI PARTIAL CYSTECTOMY PP | 51999 | Prof | $2399.13 |
| DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI PP | 27057 | Prof | $2521.68 |
| DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV PP | 27893 | Prof | $1506.51 |
| DEBRIDEMENT,BONE,1ST 20SQ CM OR LESS PP | 11044 | Prof | $688.56 |
Surgical Practices
ChristianaCare is a private not-for-profit regional health care system (tax exempt under
Section 501 (c)(3) of the Internal Revenue Code - ID Number 51-0103684) and relies in part on the generosity of individuals, foundations and corporations to fulfill its mission. To learn more about how you can support our mission, please visit christianacare.org/donors.
To view the pricing by insurance provider and self-pay of all our services, please visit https://billing.christianacare.org/transparency/chargemaster.
ChristianaCare, PO Box 1668, Wilmington, DE 19899 800-693-CARE
